NPI | 1174885735 |
---|---|
Former Name | MOLLY C PAUL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.016999) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2012016757) |
235Z00000X Speech-Language Pathologist, (Licence: MO 2013018002) | |
Enumeration Date | 2012-06-11 |
Last Update Date | 2023-08-03 |